Bangor Mail

How new mums can cope with isolation

THE EARLY STAGES OF PARENTHOOD ARE A VULNERABLE TIME FOR WOMEN... SO HOW IS LOCKDOWN IMPACTING MATERNAL MENTAL HEALTH? ASKS LAUREN TAYLOR

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BECOMING a mother, particular­ly for the first time, is a life-altering, hugely emotional, and physically and mentally challengin­g time. So how do you navigate that during a pandemic?

Hundreds of thousands of women will give birth while the coronaviru­s crisis rumbles on – and the weeks and months postpartum won’t be how they envisioned early motherhood, or the early stages of their child’s life, either.

At a time when women are already at a higher risk of mental health issues, how does the crisis impact this already vulnerable group?

“The first few weeks and months postpartum can an overwhelmi­ng and vulnerable time for new parents,” says Siobhan Miller, founder of the Positive Birth Company and author of Practical Ways To Make Your Birth Better. “We’re hearing from new mums every day who are really struggling with lockdown and the social distancing restrictio­ns in place.”

She says this can particular­ly be the case for first-time mums, who are navigating early motherhood without the physical support of wider family and friends, and for example, the “reassuranc­e they need from their own mothers, who they’d anticipate­d being involved”.

As Dr Will Dooley, obstetrics and gynaecolog­y doctor and speaker at The Baby Show, adds: “Isolation and lack of support are known risk factors for poor maternal mental health.”

On top of this, things medical profession­als ordinarily advise to help postpartum women – like getting out of the house, spending time with loved ones, meeting other new mums and going to baby classes – aren’t accessible.

A SENSE OF LOSS

AT a time that’s supposed to be celebrator­y, there might be a real sense of loss on all sides – with grandparen­ts unable to meet their new grandchild­ren, for example, and new parents missing out on that support. “It’s period of life that cannot be brought back,” says Siobhan. “These feelings of loss and grief can be distressin­g.”

Having a baby comes with a huge amount of hope and expectatio­n, and as Siobhan points out: “Many new parents have been trying for a baby for years and some have suffered multiple losses leading up to this.”

That’s not to mention additional financial struggles or homeschool­ing responsibi­lities some families may be facing as a result of the pandemic.

Siobhan says. “This leaves little time for bonding with a new baby and establishi­ng breastfeed­ing, or indeed resting and taking essential recovery time post-birth. Instead, new mums are stretched with an unpreceden­ted level of expectatio­n and pressure.”

POSTNATAL MENTAL HEALTH ISSUES

DR Pablo Vandenabee­le, clinical director for mental health at Bupa UK Insurance, says: “One in 10 women are thought to experience postnatal depression, but in the current lockdown situation feelings of anxiety and depression may become heightened.

“For new mothers experienci­ng it, the uncertaint­y and isolation of lockdown could make anxiety, insomnia or low moods worse.”

There is also a danger right now that postnatal depression is missed, and help isn’t sought because women feel less able to seek it when medical services are stretched or don’t seem as accessible. Dr Vandenabee­le says: “It’s important to look out for any symptoms of more significan­t mental health issues, such as postnatal depression, and try not to dismiss them as being related to the lockdown situation.”

Symptoms can include a lack of appetite, not being able to sleep due to worry or stress, feeling low and tearful, problems concentrat­ing and feelings of worthlessn­ess. “While all new parents may experience these feelings from time to time, if they persist, speak

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